Online Registration - The Studio Director

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Welcome to the Berest Dance Center
Registration is available for some classes.
Our Covid-19 Protocol has been updated to Optional for vaccinations and masks.
Come Dance With Us!

Contact Information

Please enter the contact info for who will be paying the bill. If the student is a minor, please enter the guardian's contact info.

First Name(s) *
Last Name *
Address 1 *
Address 2
City *
State *
ZIP *
*


Email/Username *		(for example: )
Additional Emails		(for example: , )

Yes, send me emails related to my account payments, class confirmations, class reminders, cancelled classes, etc. See our privacy policy for how we safeguard your information.

Password

Please make a note of your email-address/username above and the password you enter below. They will be used to log into your account in the future.

Password *
Re-type Password *

How did you hear about us?


More Details

Emergency Contact Information

Who should we contact, other than the contact listed above, in case of an emergency?

Emergency Contact Name(s)
Emergency Contact Phone(s)

* = Required Fields

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